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Let Us Talk About Moving: Reframing the Exercise and Physical Activity Discussion
Noncommunicable and chronic disease are interchangeable terms. According to the World Health Organization, “they are of long duration and generally slow progression. The 4 main types of chronic diseases are cardiovascular diseases (ie, heart attacks and stroke), cancers, chronic respiratory diseases (such as chronic obstructive pulmonary disease and asthma), and diabetes.” We have known about the ben efits of physical activity (PA) for thousands of years. Perhaps our approach, from public health messaging to the individual clinical encounter, as to how PA and exercise are discussed and prescribed can be improved upon, ...
Source: Current Problems in Cardiology - June 7, 2017 Category: Cardiology Authors: Ross Arena, Amy McNeil, Steven Street, Samantha Bond, Deepika R. Laddu, Carl J. Lavie, Andrew P. Hills Source Type: research

Disparities in US Healthcare Provider Screening and Advice for Cessation Across Chronic Medical Conditions and Tobacco Products
ConclusionsResults support the need for provider training to expand screening and cessation interventions to include the growing spectrum of tobacco products. Screening and referral to interventions are especially needed for those with mental health and substance use disorders to reduce the disparate burden of tobacco-related disease and death.
Source: Journal of General Internal Medicine - May 3, 2017 Category: Internal Medicine Source Type: research

Restrictive Spirometry Pattern is Associated with Increased Arterial Stiffness in Men and Women.
CONCLUSIONS: Both restrictive spirometry pattern and reduced FVC were associated with a higher risk of arterial stiffness, not only in males but also in females. Clinically, assessment of arterial stiffness might be considered in individuals with restrictive spirometry pattern. PMID: 28411113 [PubMed - as supplied by publisher]
Source: Chest - April 11, 2017 Category: Respiratory Medicine Authors: Wu IH, Sun ZJ, Lu FH, Yang YC, Chou CY, Chang CJ, Wu JS Tags: Chest Source Type: research

Hypothyroidism is associated with all ‐cause mortality in a national cohort of chronic hemodialysis patients
ConclusionHypothyroidism is associated with increased all‐cause mortality in chronic HD patients. The interaction of hypothyroidism and diabetes, but not other common comorbidities in HD patients, has an effect on mortality risks.
Source: Nephrology - March 28, 2017 Category: Urology & Nephrology Authors: Hsuan ‐Jen Lin, Chung‐Chih Lin, Hsuan Ming Lin, Hsuan‐Ju Chen, Che‐Chen Lin, Chiz‐Tzung Chang, Che‐Yi Chou, Chiu‐Ching Huang Tags: Original Article Source Type: research

Barriers to Health Care for Adults With Multiple Chronic Conditions: United States, 2012-2015.
This report examines health care access and utilization among adults with MCC compared with those with one or no diagnosed chronic conditions. PMID: 28282022 [PubMed - in process]
Source: NCHS data brief - March 12, 2017 Category: American Health Tags: NCHS Data Brief Source Type: research

Pollution Kills 1.7 Million Children Every Year, WHO Says
A quarter of all global deaths of children under five are due to unhealthy or polluted environments including dirty water and air, second-hand smoke and a lack or adequate hygiene, the World Health Organization (WHO) said on Monday. Such unsanitary and polluted environments can lead to fatal cases of diarrhea, malaria and pneumonia, the WHO said in a report, and kill 1.7 million children a year. “A polluted environment is a deadly one -– particularly for young children,” WHO Director-General Margaret Chan said in a statement. “Their developing organs and immune systems, and smaller bodies and airway...
Source: Healthy Living - The Huffington Post - March 6, 2017 Category: Consumer Health News Source Type: news

China, India Account For Half World's Pollution Deaths In 2015
China and India accounted for more than half of the total number of global deaths attributable to air pollution in 2015, researchers said in a study published on Tuesday. The U.S.-based Health Effects Institute (HEI) found that air pollution caused more than 4.2 million early deaths worldwide in 2015, making it the fifth highest cause of death, with about 2.2 million deaths in China and India. The institute’s study, the first of its kind, was based on the Global Burden of Disease (GBD) project, a database backed by the Bill & Melinda Gates Foundation that tracks the role that behavioral, dietary and environmental...
Source: Healthy Living - The Huffington Post - February 15, 2017 Category: Consumer Health News Source Type: news

Childhood Trauma and Adult Risk Factors and Disease in Hispanics/Latinos in the US: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study
Conclusions: Adverse childhood experiences are prevalent among US Hispanics/Latinos and are involved in disease in adulthood. The apparent higher prevalence of ACEs in US Hispanics/Latinos did not correspond with stronger associations with disease. Further studies are needed to identify factors that may moderate the associations of ACE with adult disease.
Source: Psychosomatic Medicine - February 1, 2017 Category: Psychiatry & Psychology Tags: Original Articles Source Type: research

Prevalence of Hypertension among Patients Attending Mobile Medical Clinics in the Philippines after Typhoon Haiyan
Conclusions Better planning and preparation by humanitarian actors seeking to decrease the overall morbidity and mortality associated with disasters should include treatment of NCDs. There is limited evidence regarding the optimal management of hypertension in disaster settings. Clinical care of patients with hypertension and other NCDs is an important part of disaster relief and recovery. We recommend future studies to determine best practices and evidence-based management of other NCDs (such as diabetes mellitus, cardiovascular disease, chronic lung disease, mental health etc.) in post-disaster settings. Competing Inter...
Source: PLOS Currents Disasters - December 20, 2016 Category: Global & Universal Authors: lindamob01 Source Type: research

Sociodemographic Patterns of Chronic Disease: How the Mid-South Region Compares to the Rest of the Country
Conclusions Future studies should test tailored interventions to address the specific needs of population subgroups in order to improve their health.
Source: American Journal of Preventive Medicine - December 14, 2016 Category: Global & Universal Source Type: research

Potentially Preventable Deaths Among the Five Leading Causes of Death - United States, 2010 and 2014.
Abstract Death rates by specific causes vary across the 50 states and the District of Columbia.* Information on differences in rates for the leading causes of death among states might help state health officials determine prevention goals, priorities, and strategies. CDC analyzed National Vital Statistics System data to provide national and state-specific estimates of potentially preventable deaths among the five leading causes of death in 2014 and compared these estimates with estimates previously published for 2010. Compared with 2010, the estimated number of potentially preventable deaths changed (supplemental ...
Source: MMWR Morb Mortal Wkl... - November 17, 2016 Category: Epidemiology Authors: García MC, Bastian B, Rossen LM, Anderson R, Miniño A, Yoon PW, Faul M, Massetti G, Thomas CC, Hong Y, Iademarco MF Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Mortality, hospital days and expenditures attributable to ambient air pollution from particulate matter in Israel
ConclusionsSubject to the caveat that our estimates were based on a limited number of non-randomly sited stations exposure data. The mortality, morbidity and monetary burden of disease attributable to air pollution from particulate matter in Israel is of sufficient magnitude to warrant the consideration of and prioritisation of technological interventions that are available to reduce air pollution from industrial, power generating and vehicular sources. The accuracy of our burden estimates would be improved if more precise estimates of population exposure were to become available in the future.
Source: Israel Journal of Health Policy Research - November 14, 2016 Category: Global & Universal Source Type: research

Prevalence of common diseases in COPD patients versus lung-healthy control subjects: Results from the German COSYCONET study
COSYCONET investigates the interrelationship of COPD and comorbidities with regard to course and prognosis of the disease. The present analysis examined the prevalence of selected common diseases in the COPD cohort compared to apparently lung-healthy subjects from the population-based reference cohorts KORA and SHIP.Spirometry was performed in all subjects and COPD patients were graded according to GOLD criteria. Subjects from KORA/SHIP without known COPD, asthma or chronic bronchitis and with FEV1/FVC≥0.7 were regarded as apparently lung-healthy. Prevalences of myocardial infarction, stroke, diabetes, hypertension, obe...
Source: European Respiratory Journal - November 7, 2016 Category: Respiratory Medicine Authors: Karrasch, S., Obst, A., Söhler, S., Thorand, B., Huth, C., Ladwig, K.-H., Flexeder, C., Wacker, M., Peters, A., Heinrich, J., Ewert, R., Nowak, D., Jörres, R. A., Vogelmeier, C., Gläser, S., Schulz, H., COSYCONET Study Group Tags: 6.1 Epidemiology Source Type: research

Prevalence and Risk Factors of Caregiver Dependence among Older Adults in a Southeast Asian Population.
CONCLUSION: Various sociodemographic and health-related conditions were significantly associated with caregiver dependence. Dependent older adults will put greater demands on health and social services, resulting in greater healthcare expenditures. Hence, effective planning, services and support are crucial to meet the needs of dependent older adults and their caregivers. PMID: 27922142 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - October 31, 2016 Category: Journals (General) Authors: Picco L, Abdin E, Vaingankar JA, Pang S, Shafie S, Sambasivam R, Chong SA, Subramaniam M Tags: Ann Acad Med Singapore Source Type: research

Are high-speed cyclists at risk from air pollution?
Conclusion This study may be of interest to those in the field of sports medicine. It calculates the speed that walkers, joggers and cyclists may travel at to minimise the pollution they potentially inhale. It also finds that these values turn out to be those that many pedestrians and cyclists would travel at in any case. And, somewhat unsurprisingly, this speed would go down as you go uphill because of the increased effort and breathing rate required. Fitter people who run or cycle fast for sport are, however, naturally likely to exceed this minimum speed requirement, both on the flat and speed gradients. This could pot...
Source: NHS News Feed - October 31, 2016 Category: Consumer Health News Tags: Heart/lungs Lifestyle/exercise Source Type: news